Laboratory Safety Survey - ver.2016.04.13

• Document No.

• Building

  Select Austin Peay Building Berry Hall Biology in a Box Buehler Burchfiel Geography Dabney Hall Dougherty Engineering Earth & Planetary Sciences Estabrook Hall Ferris Hall Hesler Biology Building and Greenhouse Jessie Harris Min H. Kao Electrical Eng. & Computer Science Neyland Biology Annex Neyland Stadium Skyboxes NTRC: National Transportation Research Center Nielsen Physics Pasqua Nuclear Engineering Building Perkins Hall Science & Engineering Research Facility Senter Hall TANDEC: Textiles And Nonwovens Development Center Tickle Engineering Walters Life Sciences

  • Austin Peay Building
  • Berry Hall
  • Biology in a Box
  • Buehler
  • Burchfiel Geography
  • Dabney Hall
  • Dougherty Engineering
  • Earth & Planetary Sciences
  • Estabrook Hall
  • Ferris Hall
  • Hesler Biology Building and Greenhouse
  • Jessie Harris
  • Min H. Kao Electrical Eng. & Computer Science
  • Neyland Biology Annex
  • Neyland Stadium Skyboxes
  • NTRC: National Transportation Research Center
  • Nielsen Physics
  • Pasqua Nuclear Engineering Building
  • Perkins Hall
  • Science & Engineering Research Facility
  • Senter Hall
  • TANDEC: Textiles And Nonwovens Development Center
  • Tickle Engineering
  • Walters Life Sciences

• Room number

• Principle Investigator

• Principle Investigator Present?

  Yes

  No

  N/A

• Other faculty/staff present:

• Department

  Select Biochemistry, Cellular, and Molecular Biology Biology Civil & Environmental Engineering Chemical & Biomolecular Engineering Chemistry Civil & Environmental Engineering Earth & Planetary Sciences Ecology & Evolutionary Biology Electrical Engineering & Computer Science Engineering Fundamentals Environmental Health & Safety Facilities Services Genome Science & Technology Geography Graduate School of Medicine Industrial/Organizational Psychology Industrial/Systems Engineering Institute of Biomedical Engineering Joint Institute for Advanced Materials Joint Institute for Biological Sciences Kinesiology, Recreation, & Sport Studies Life Sciences Material Science/Engineering Mechanical, Aerospace, Biomedical Engineering Microbiology Nuclear Engineering Nursing Nutrition Physics & Astronomy Plant Sciences Psychology Public Health Scintillation Materials Research Center

  • Biochemistry, Cellular, and Molecular Biology
  • Biology
  • Civil & Environmental Engineering
  • Chemical & Biomolecular Engineering
  • Chemistry
  • Civil & Environmental Engineering
  • Earth & Planetary Sciences
  • Ecology & Evolutionary Biology
  • Electrical Engineering & Computer Science
  • Engineering Fundamentals
  • Environmental Health & Safety
  • Facilities Services
  • Genome Science & Technology
  • Geography
  • Graduate School of Medicine
  • Industrial/Organizational Psychology
  • Industrial/Systems Engineering
  • Institute of Biomedical Engineering
  • Joint Institute for Advanced Materials
  • Joint Institute for Biological Sciences
  • Kinesiology, Recreation, & Sport Studies
  • Life Sciences
  • Material Science/Engineering
  • Mechanical, Aerospace, Biomedical Engineering
  • Microbiology
  • Nuclear Engineering
  • Nursing
  • Nutrition
  • Physics & Astronomy
  • Plant Sciences
  • Psychology
  • Public Health
  • Scintillation Materials Research Center

• Conducted on

  Date

• Prepared by:

  Select Pam Koontz Scott Moser

  • Pam Koontz
  • Scott Moser

Door Placards

• Is a door placard posted?

  Yes

  No

  N/A

• Is the door placard accurate and up to date?

  Yes

  No

  N/A

Training

• Documentation of general lab safety training is available

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Documentation of Hazard Communication (HazCom) with GHS training is available

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• All personnel who generate or handle hazardous waste have had hazardous waste training

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Personnel have been trained and PPE Training Certification Forms are available for review (not scored)

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Documentation of lab-specific training on SOPs is available (not scored)

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

Personnel Knowledge and Practices

• Do lab personnel know what to do in the event of an emergency, such as fire, injury, including evacuation routes?

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Secondary containers and carts when necessary are used during transport of more than one liter of chemicals or for particularly hazardous chemicals

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Do lab personnel know how to clean up chemical spills and when to seek help?

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• A written Chemical Hygiene Plan is available in the laboratory

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Do lab personnel know who the Departmental Safety Officer is?

  Yes

  No

  N/A

• Photo taken?

  Yes

  No

• Do lab personnel know what an MSDS or SDS is and where to find them and other safety information?

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Has the lab submitted to EHS a current chemical inventory in the last calendar year?

  Yes

  No

  N/A

• Photo taken?

  Yes

  No

• Lab check-out procedures for departing lab workers are used to avoid long-term storage of abandoned chemicals

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

Chemical Labeling, Storage & Transport

• Containers are clearly labeled

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Containers are compatible with the chemical (e.g. No food containers)

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Containers are kept closed.

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Labeled chemical cabinets are true to their contents.

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Heavy containers are stored on lower shelves

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Chemicals of different hazard classes are segregated to avoid incompatible chemical and conditions (e.g. flammable liquids and oxidizers, corrosives and metal containers/cabinets, oxidizing acids and organic acids.)

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Corrosives are not stored above eye level

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• If pyrophorics or air/water reactive solids are present, proper PPE, firefighting measures, administrative, and engineering controls are in proper use

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Materials with short shelf lives are dated and disposed of per supplier's recommendations

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Refrigeration units and/or microwaves for chemical storage and processing are labeled "Not for Food"

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Refrigeration units containing flammables are approved for flammables storage

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

Hazardous Waste Management

• Containers are compatible with waste

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Containers are kept closed except during transfer of materials

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Containers are labeled with the official UT Hazardous Waste label

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Constituents are described with complete chemical name

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Hazardous waste storage area is labeled with yellow Hazardous Waste Storage Area sign (not scored)

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

Fume Hood

• Each chemical fume hood has been surveyed for proper airflow (not scored)

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Fume hoods are used with the sash in appropriate position

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Fume hood vents are unobstructed

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Fume hood is not overloaded (e.g. Large equipment or excessive storage).

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Sash glass is clean and maintained to have a clear visual path to work being done

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

Compressed Gases

• Storage quantities are minimized

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Cylinders are secured from tipping by a chain or strap

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Protective valve caps are in place

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• All cylinders including lecture bottles, if present, are stored upright

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Cylinder carts are used for transport

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Empty or unused gas cylinders are promptly returned to supplier (not scored)

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

Equipment & Physical Hazards

• Flexible cords and other electrical equipment are in good condition

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• All electrical equipment is being used according to its design and approved use (e.g. Circuits are not overloaded. Power strips are not daisy-chained. Extension cords are not running through ceiling tiles, behind heavy movable objects or through walls.)

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Circuit breaker panels are unobstructed

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Machines, instruments and tools have access panels/guards are in place

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

General Work Environment

• Is the space organized and free from clutter or potentially unsafe working conditions?

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Current storage conditions do not present a fire hazard and do not block sprinkler systems

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Fire extinguisher is mounted on the wall and access is not blocked by equipment or supplies

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Do lab personnel know the location of and how to use emergency equipment, such as safety showers and eyewash stations?

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Emergency eyewash stations are tested weekly to ensure operation by lab personnel

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Emergency eyewash and shower are accessible

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Aisles are uncluttered and are without tripping hazards

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• All exits are unobstructed

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Is the area free from any other recognized hazards?

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

Personal Protective Equipment (PPE)

• Appropriate equipment (such as gloves, safety glasses, goggles) is available and in functional condition

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• PPE is being worn correctly in the laboratory (check N/A if no work is being performed at time of inspection)

  Yes

  No

  N/A

• PPE is being stored properly to guard against contamination or damage

  Select Best Practice Recommended improvement: in compliance but not best practice Observation: Low risk non-compliance Minor Finding: serious risk non-compliance Major Finding: Immediate risk. Immediate corrective action required N/A

  • Best Practice
  • Recommended improvement: in compliance but not best practice
  • Observation: Low risk non-compliance
  • Minor Finding: serious risk non-compliance
  • Major Finding: Immediate risk. Immediate corrective action required
  • N/A

• Photo taken?

  Yes

  No

• Are respirators used? (Not scored)

  Yes

  No

  N/A

• Are respirators used as part of a respiratory protection program? (Not scored)

  Yes

  No

  N/A

• Is hearing protection used? (Not scored)

  Yes

  No

  N/A

• Is a hearing protection used as part of a hearing conservation program? (Not scored)

  Yes

  No

  N/A

Potential improvements or General Comments

• Item #1:

• Add media

  Media

• Item #2:

• Add media

  Media

• Item #3:

• Add media

  Media

• Item #4:

• Add media

  Media

• Item #5:

• Add media

  Media

Web Links

• EHS Web Page
  ehs.utk.edu
  http://www.ehs.utk.edu

• EHS Safety Manual
  ehs.utk.edu/safety%20manual/smanualaph2kj
  http://ehs.utk.edu/safety%20manual/Safetymanual2kj.html

• Lab Safety Manual and Chemical Hygiene Plan Template
  ehs.utk.edu/safety%20manual/Guides/LabSafetyManual2015_09_08.pdf
  http://ehs.utk.edu/safety%20manual/Guides/LabSafetyManual2015_09_08.pdf

Safety Office Representative Performing Inspection

• Environmental Health & Safety Representative:

  Pam Koontz

  Scott Moser

• Signature

  Sign

Responsible Laboratory Representative (PI or designee)

• I am aware that this Laboratory Safety Survey has been conducted and will participate in addressing corrective actions as appropriate to my position and level of authority.

• Laboratory Representative

  Sign

• Laboratory Representative

  Sign